Clerici M, Beltz J, Bertrando P, Fornara A, Garavaglia R, Iraci A, Merati O, Steiner V, Cazzullo C L
Minerva Psichiatr. 1993 Sep;34(3):163-72.
The authors present data from an experimental study conducted on 20 institutionalized mentally handicapped adult patients. Relevant family variables were investigated by means of the Expressed Emotion (EE) scales, then compared with similar variables obtained in a matched sample of 20 schizophrenic patients and their families. Results show, in relatives of mentally handicapped patients, a higher rate of Warmth than in relatives of schizophrenics (p = 0.009), while other EE scales appear to reach similar values in both groups. Within the mentally handicapped family group, a higher rate of Emotional Over-involvement (p = 0.046) is shown by relatives of patients treated with neuroleptic drugs. The presence of high Warmth and Emotional Over-involvement, together with low Criticism and Hostility, may be interpreted as adaptation by the families to an organic disease with very early onset, clearer ad less rejecting than schizophrenia.
作者展示了一项针对20名机构收容的成年智障患者进行的实验研究数据。通过情感表达(EE)量表对相关家庭变量进行了调查,然后与在20名精神分裂症患者及其家庭的匹配样本中获得的类似变量进行比较。结果显示,智障患者亲属的温暖程度高于精神分裂症患者亲属(p = 0.009),而其他EE量表在两组中似乎达到相似的值。在智障家庭组中,接受抗精神病药物治疗的患者亲属表现出更高的情感过度卷入率(p = 0.046)。高温暖度和情感过度卷入,以及低批评和敌意的存在,可能被解释为家庭对一种起病非常早、比精神分裂症更清晰且更少排斥的器质性疾病的适应。